Botox as a Preventive Treatment for Migraines

Millions of people around the world suffer from migraine, and for an unfortunate few, no treatment, medication, or therapy consistently and reliably alleviates migraine attacks. Migraine pain can stop a person from living a normal life, leaving them incapacitated for several hours or days at a time.

Thankfully, one treatment that is growing in popularity due to its effectiveness in treating migraines is Botox.

So does Botox as a migraine treatment work? Yes, as a preventive treatment for migraines. Some studies report that individuals who experience chronic migraines have their number of migraine days every month reduced by 50% on average.

While it is not totally understood how exactly Botox helps to prevent migraines, some doctors believe it to be linked to the suppression of the migraine-related CGRP protein when Botox successfully paralyzes certain sensory nerves in the head.

Understanding Migraines

What is a Migraine?

Migraines are extremely painful recurring headaches. Around 12% of the US population suffers migraine attacks, with most of those affected being middle-aged women. People who suffer from migraines generally experience them several days per month; a person is considered to have chronic migraine if they experience migraine symptoms on at least 15 days every month.

Migraine Symptoms

Migraines are different from headaches in that they can generally be predicted before the pain begins, whereas the symptoms of a headache only occur during the headache itself.

Migraines are very unique in the way people experience and suffer from them, so there are many symptoms for this condition. Some of the most common migraine symptoms are as follows:

• Nausea (sickness and vomiting)
• Hypersensitivity to sound, light, and smell
• Pain during physical stress
• Pulsing and throbbing pain around the head or on one side of the head
• Sweating
• Diarrhea
• Stomach ache
• Body temperature fluctuations

Causes of Migraine (Triggers)

Migraines are still not completely understood, as the causes, effects, and treatments on individuals can vary from person to person. Some doctors believe that those who experience migraines are simply more genetically predisposed to it, leading to them having more excitable brains; even a small trigger or change in the environment (internal or external) can be enough to lead to a major migraine.

Some of the general triggers of migraine include:

• Diet: Caffeine and alcohol are known to be triggers for migraines in some people. Food related to dairy such as cheese and chocolate, and citrus fruits have also been linked to migraines
• Physical exhaustion: Physical fatigue, neck and shoulder pain, jet lag, and low blood sugar
• Hormonal causes: Menstruation causes immense hormonal fluctuations in the body, leading to migraines in some women
• Excessive stimuli: Smoke, flickering lights, loud sounds, pungent smells – too much stimulation of the senses can trigger migraines
• Emotional events: Too much excitement, stress, anxiety, or any other strong emotion can lead to a migraine

Types of Migraines

Migraines are classified into the symptoms a person experiences. These classifications are:

• Vestibular Migraine: Migraines that strongly lead to feelings to dizziness and vertigo. Known as vestibular migraines due to the relation with the vestibular system, which helps a person identify their surrounding space
• Intractable Migraine: Migraines that last a long time, typically the most severe migraines that can disrupt all activities in a day. Also known as status migrainosus
• Basilar Migraine: Rarer than other migraine types, basilar migraines lead to sensory-related symptoms, such as seeing flashes of light or spots (basilar migraines are generally aura migraines). These migraines are linked to blood vessel constriction, leading to less blood in the brain

There are two major types of migraines: aura migraines and migraines without aura. Both types of migraines produce similar symptoms:

• Neck and shoulder stiffness
• Blurred vision
• Upset stomach
• Pain in the head, usually worse on one side
• Hypersensitivity to senses

The primary difference between the two is the presence or lack of an aura. The aura comes before the migraine, setting in anywhere from 5 minutes to an hour before the pain of a migraine begins. This allows people to start taking preventive measures to stop a migraine before it happens.

While most auras are visual auras – in which a person will see colors and shapes such as blind spots, zigzags, tunnel vision, flashes, and more – other types of auras affect the movement and other senses of a person, leading to:

• Sudden uncontrollable movements
• Muscle weakness
• Auditory hallucinations
• Speech impediments
• Pins and needles sensation
• General confusion of the world around you

Aura migraines generally affect 1 out of 3 people who suffer from migraines, although not every migraine they experience will come with an aura. Aura migraines come in three stages:

• The aura stage: The initial onset aura, leading to symptoms of visual or auditory hallucinations
• The attack stage: The painful headache, lasting anywhere from a few hours to a few days, with feelings of nausea and vomiting
• The hangover stage: Grogginess after the migraine, taking at least a day to recover

The Link Between Women and Migraines

There is a significant difference when comparing men and women who suffer from migraines: around 85% of people who report having migraine symptoms are middle-aged women. As migraines are still not completely understood, doctors continue to study the links between middle-aged women and migraines. One of the most common beliefs is that migraine sensitivity can be found in our sex hormones.

In one study, it was found that testosterone can actually help protect people from migraines; the more testosterone within an individual, the more likely they are to never experience a migraine, or experience lesser or reduced migraine symptoms.

Other sex hormones such as estrogen – the sex hormone most prevalent in women – have been strongly linked to migraine symptoms. Women with the highest estrogen levels (typically women experiencing their menstruation) are most likely to experience migraines.

Do you Need Botox for Migraines?

Botox as a migraine treatment has been used to successfully treat millions of patients worldwide, but are you a potential candidate for migraine-related Botox? Here are some necessary criteria before you consider Botox for your migraine or chronic migraine:

You Have Migraines, Not Headaches: It’s important to know that you are experiencing migraines, not headaches. The International Headache Society has the “5, 4, 3, 2, 1,” system to diagnose migraines.

• You have experienced 5 painful attacks, lasting at least 4 hours up to 3 days each
• Your attacks have at least 2 of the following symptoms: pulsating pain, severe pain, aggravated by physical stress, and generally more painful on one side
• You have at least 1 of the following symptoms:  Vomiting, sound sensitivity, light sensitivity, nausea

You Have Tried Oral Treatments: Doctors will generally recommend that an individual tries 2-3 oral treatments for migraine before considering Botox, and these treatments should have no positive effect on the individual. Insurance providers also typically will not cover Botox for migraine until oral treatments have been tried

You Have Tried Non-Pharmaceutical Treatments: Botox should be an option when all other options have been exhausted. If you have tried recommended lifestyle changes to alleviate your migraine pain and reduce your migraine days, and if they are ineffective, then you should consider Botox treatments

You Are Not Allergic (Or Pregnant/Breastfeeding): It is important that a patient isn’t allergic to Botox (which is rare), and that they are not pregnant or breastfeeding (or planning to be pregnant or planning to breastfeed), as it is still unknown as to whether Botox has any effect on unborn or young children

You Have Previous Experience with Botox: Having previous experience with Botox as a cosmetic or medical treatment means a patient is definitely not allergic to the treatment, and they already have some understanding of the treatment process and what to expect

Botox as a Migraine Treatment: Everything You Need to Know

What is Botox?

Botox or onabotulinum A is a neurotoxin protein derived from the botulinum Clostridium bacterium. This bacterium is generally found in bodies of water and soil around the world, and was first observed by doctors in the 18^th century, in which contact with the bacterium was leading to unexplained deaths.

It was only in the 20^th century when doctors understood how to isolate the muscle-paralyzing factors of Clostridium botulinum, leading to the creation of Botox as a neurotoxin used for various medical and cosmetic purposes.

The primary function of Botox as a medical and cosmetic treatment is to paralyze or “freeze” muscles and nerve endings in the injection site. The conditions treated by Botox are conditions related to or caused by muscular or nerve disorders, leading to involuntary twitches, spasms, or wrinkles and lines from heavy or overactive muscles.

With Botox, the muscles and nerves behind these conditions become relaxed, leading to the patient’s alleviation from the symptoms for as long as Botox remains in the system. Botox typically lasts anywhere from 3 to 6 months, with some patients reporting effects lasting up to 12 months.

For patients suffering severe conditions, doctors generally recommend maintenance treatments every few months, allowing the Botox effects to last indefinitely.  

Some of the medical and cosmetic applications of Botox today include:

• Hemifacial spasm
• Upper limb spasticity
• Blepharospasm
• Severe shoulder muscle spasms
• Severe neck muscle spasms
• Overactive bladder
• Strabismus
• Hyperhidrosis (excessive sweating)
• Glabellar lines
• Crow’s feet
• Fine lines and wrinkles in various facial regions

And of course, Botox has also been found to treat migraines and chronic migraines, with the FDA granting official approval for Botox to be used as a clinical migraine treatment. But how exactly does Botox for migraines work?

Botox as a Migraine Treatment

As discussed above, much is still unknown about migraines. Doctors have found that patients experiencing migraines (or migraine-like symptoms) can be triggered and treated with a full range of options, so research into understanding migraines is still difficult, with so many unexplained variables.

The case of understanding how Botox treats migraines is no different – there is still no direct or clear explanation as to why Botox alleviates migraine symptoms. It is important to note that there are two ways to treat migraines: acute treatment and preventive treatment.

• Acute treatment: This is a migraine treatment that aims to tackle and relieve current pain, allowing a patient who is presently suffering migraine pain to find relief.
• Preventive treatment: This is a migraine treatment that aims to lessen the frequency of migraine occurrences in the future. As chronic migraines are generally defined as headaches that occur in 15 or more days every month, preventive treatment seeks to reduce the overall number of days a patient experiences migraine symptoms every month.

Botox works as a preventive treatment for migraine. And in many cases, the relieving effects of Botox as a migraine treatment do not fully kick in until the third or fourth treatment, leaving many patients initially doubting the efficacy of Botox as a migraine treatment.

Like most applications of Botox, the discovery of Botox as a potential treatment for migraine was an accident. As most patients of Botox (middle-aged to older women) also fall in the same demographic as those who are most prone to suffer chronic migraine, several patients reported in the early 2000s that their Botox for forehead wrinkles had also helped alleviate their migraine symptoms.

After doctors continued to explore various areas to inject Botox, the migraine alleviation continued to improve. In 2010, the FDA approved Botox for migraine when the main supplier of Botox (Allergen) supplied two studies proving the positive effects of Botox on patients with migraines.

How Botox Treats Migraine

So how exactly does Botox treat migraine? While the science behind its proven alleviation of migraine symptoms isn’t fully understood, there are existing theories based on the known effects of Botox in the body.

Botox as a medical and cosmetic application functions by paralyzing or freezing a specific muscle. The specific actions involved in this “paralysis” works at the neurotransmitter level: when the brain “commands” a muscle to contract, a neurotransmitter (a chemical that acts as a transmitter of the command) known as acetylcholine is released by the surrounding nerves. The released acetylcholine sends the message from neuron to neuron, and the muscle responds by contracting.

The presence of Botox in the area prevents this interaction from happening. Botox paralyzes the nerve that sends out the acetylcholine, thus preventing the release of acetylcholine, and consequently blocking the action of a muscle contraction.

In the context of migraines, it is understood that the sensory nerves around the head also release pain impulses when triggered. These pain impulses are accompanied by a protein known as Calcitonin Gene-Related Peptide (CGRP), which has been heavily historically linked to headaches and migraines. When CGRP is released, headache and migraine symptoms begin or worsen.

Botox injected around the muscles of the head is believed to perform the same function to the head’s sensory nerves with CGRP as it does with typical nerves and acetylcholine, preventing the release of CGRP and thus reducing or even preventing the symptoms of migraine.

Botox for Migraine Treatment Experience

Many more people are familiar with Botox as a cosmetic treatment than Botox as a migraine treatment, so the first question that many potential patients ask when considering Botox as their migraine treatment is whether Botox as a migraine treatment is any different from Botox as a cosmetic treatment.

While Botox has many applications, its formula and injection process are typically the same, whether you are getting it for cosmetic, migraine, or other medical purposes. The only major difference between Botox treatments across various applications is the number of injections required.

As it is recommended for each injection to carry just 5 units of Botox, more injections are required for certain treatments than others. The typical facial injection of Botox as a cosmetic procedure may take only a few injections. However, Botox as a migraine treatment requires many more units per session to be effective.

How Many Units of Botox Will You Need for a Migraine?

At least 31 injections of Botox are required for a full treatment of migraine, with 5 units per injection. Some patients can expect up to 40 injections, depending on the severity of their condition and their doctor’s recommendation. The 31 initial injection points are all areas where the nerves are most active during bouts of migraine.

Generally, a set foundation of Botox injections will be administered around the hell; after this, the areas where the migraine pain is most concentrated will receive extra attention if deemed necessary by the doctor.

Here are the various injection sites a patient can expect any Botox for migraine treatment to involve:

Injection Site	Botox Units	Areas	Muscle Function
Corrugator	1 injection site each side of the forehead, 5 Botox units each	The patient will be required to furrow their brows and hold the skin down; injection will be just above the superior orbital rim	Depressor of the brows
Procerus	1 injection site at the midline area, 5 Botox units	The patient will be required to furrow, allowing the injection to enter at a 90-degree angle; injection will be just about halfway between the corrugator injection sites	To add stability to the brows and the forehead
Frontalis	2 injection sites on each side of the forehead, 5 Botox units each	Highest third of the forehead, found above the corrugator injection sites; needle will enter at a 45-degree angle	To raise the brows
Temporalis	4 injection sites on each side of the head, 5 Botox units each	Injection sites are located roughly 1-3 fingerbreadths above the top of the ear, with one nearer to the brow and the furthest back along the back of the ear; needle will enter at an upward 45-degree angle	Allows the teeth to press and clench
Occipitalis	3 injection sites on each side of the head at the back, 5 Botox units each	Injection sites located at the back of the head, laterally level with the ears; needle will enter at a 45-degree angle	The anchor at the back of the skull to stabilize the frontalis
Cervical paraspinal	2 injection sites on each side of the back of the head, 5 Botox units each	Roughly around the place where the skull connects with the spine at the top of the neck and the bottom of the skull, with one injection site on each side slightly higher than the other	To balance the neck
Trapezius	3 injection sites on each shoulder, 5 Botox units each	The injection sites are located at the top of each shoulder, three along the shoulder coming from the neck	To stretch the neck

Botox for Migraine Experience

Any Botox for migraine begins with a consultation for the patient. The doctor will address their migraine and whether they have tried other options before opting for Botox injections.

Typically, insurance companies in the United States do include Botox for migraine in their plans, however for an insurance provider to cover your Botox for migraine treatment, they require you to try around 3 other preventive treatments or medications, with little to no positive results experienced.

If you have tried other treatments for migraine (generally oral treatments) and have experienced negative side effects or no changes to your migraine, then you can be covered by most insurance plans for a Botox for migraine treatment.

An advantage of Botox is that unlike some oral medications, it has no interaction with any other treatment you may be currently taking for unrelated health issues. Only patients with neuromuscular disorders or who are pregnant (or aiming to be pregnant) should avoid Botox as a migraine treatment.

The treatment itself is quick and easy – many doctors report that explaining the treatment and the injection sites takes longer than actually performing it. The patient is asked to lie down, and an anesthetic will be applied and allowed to settle prior to the injections.

The doctor will then mark the injection sites and inject the Botox around the head and neck; patients can expect at least 31 injections, and up to 40 injections for certain cases. Patients are recommended to have one session of Botox injections every 12 weeks; the overall number of sessions a patient will need depends on their results and reaction to the Botox.

Botox Side Effects

The most common side effects reported by patients who undergo Botox for migraine treatment include headaches and neck pain, however in most cases these should go away after a few days.

Other possible side effects from Botox include:

• Muscle weakness leading to breathing, speaking, and swallowing issues
• Possible botulinum toxin spread from site of injection, leading to:
  • Eyelid droop
  • Muscle fatigue
  • Strength loss
  • Bladder control loss
  • Blurred vision
  • Loss of voice
  • Rash, itching, dizziness

Before your Botox injection, inform your doctor if you have conditions related to the nerves or muscles, including:

• ALS
• Lambert-Eaton syndrome
• Myasthenia gravis
• Lou Gehrig’s disease

Other medical conditions you should inform your doctor of include:

• Bleeding issues
• History of surgery (particularly facial surgery)
• Facial changes
• Pregnancy or intention of pregnancy
• Breastfeeding or intent to breastfeed
• Forehead muscle weakness
• Eyelid droop

Allergy Side Effects

If you have never experienced a Botox injection for any purpose before, there is a possibility that you might have an allergic reaction to it. Allergic reactions of Botox can include swelling in the legs, breath shortness, and hives around the injection sites.

If you believe you might be allergic to Botox, have your doctor inject you with a small amount before your full treatment, and observe any allergic reactions. If you have had a history of allergic reactions to any product with botulinum toxin, including Xeomin, Dysport, and Myobloc, then it is recommended to avoid any Botox injection.

Injection Side Effects

As with any treatment procedure that involves injections, there is always the possibility of injection-related side effects caused by inexperienced handling of the needle. If the injection site has any rash or skin infection, it is advised to wait until the skin heals before being injected with Botox.

Non-Botox Migraine Treatments

Migraines can be treated through lifestyle changes, and individuals with migraines should try these options before pharmaceutical treatments. Lifestyle changes associated with migraine pain reduction include:

• Regular exercise
• Reducing stress levels
• Making sure you are sleeping enough
• Drinking enough water
• Avoiding food that triggers the pain

If you believe that Botox treatment is not for you, or you would like to try other migraine treatments before considering Botox, here are other proven migraine treatments:

Prescription Drugs, OTC Drugs – Before considering Botox as a migraine treatment, it is highly recommended for individuals with migraine to try at least 2-3 oral medications. These come in the form of both prescription drugs and over-the-counter drugs, including:

• NSAIDs: NSAIDs, or nonsteroidal anti-inflammatory drugs, include drugs such as naproxen, ibuprofen, diclofenac, and aspirin. These drugs are effect for both mild and severe migraines.
• Antiemetics: Antiemetic drugs are drugs that fight against symptoms of nausea, since nausea is a common side effect of severe migraines.
• Ergotamine: Ergotamine is known for its effect of bringing quick pain relief to individuals suffering from migraines. This drug is not recommended for those who experience frequent migraine attacks due to its side effects on the cardiovascular system.
• Triptans: Triptans are the most common drug prescribed for migraines due to their ability to increase serotonin levels in the brain, as low serotonin levels are associated with migraines.
• Preventive drugs: There are a variety of preventive drugs available for migraine, with different drugs working (and not working) for certain patients. These drugs include antidepressants, anticonvulsants, and antihypertensives.

Neuromodulation Therapy – Neuromodulation is the stimulation of the spinal cord or the brain, with the intention of suppression or encouraging certain central nervous system functions. The FDA has approved two neuromodulation therapies:

• Transcutaneous supraorbital nerve stimulation: Using a device placed on the head of the patient to generate magnetic impulses for stimulation of the supraorbital nerve in the brain, used as a preventive migraine treatment
• Single-pulse transcranial magnetic stimulation: Using a device placed on the head of the patient to generate magnetic impulses that stimulate the brain, used for acute migraine

Acupuncture – While some still see acupuncture as an ancient form of physical therapy, recent studies over the last few years have proven various scientific medical application of acupuncture as a treatment for certain conditions, including migraines.

One study found that patients who experience migraines without aura can greatly benefit from acupuncture, with the therapy reducing the intensity and frequency of the pain. Sufferers of migraines should turn to acupuncture if they are seeking non-pharmaceutical treatments.

Meditation – Another form of non-pharmaceutical treatment for migraines is meditation. Various studies have observed the benefits associated with meditation on pain relief from migraines. It has been found that individuals with migraine attacks who begin practicing forms of spiritual meditation experience significant migraine pain reduction.

Doctors believe this has to do with the focus on mind and muscle relaxation with meditation, which seems to lessen the aggravation of the conditions that typically result in migraine attacks.

Dietary Supplements – Certain dietary supplements have been found to reduce the number of migraine days for patients suffering chronic migraine conditions. These supplements include:

• Butterbur
• Melatonin
• Magnesium
• Riboflavin
• Coenzyme Q10

Botox as a Migraine Treatment at Ethos Spa

At Ethos Spa, Skin and Laser Center in New Jersey, our team of medical specialists have performed countless Botox treatments, for both cosmetic and medical purposes. If you would like to learn more about Botox as a migraine treatment, call us and schedule your free consultation right away.

Say goodbye to your migraine days with Botox treatments and change your life today, only at Ethos Spa.

The post Botox as a Preventive Treatment for Migraines appeared first on Ethos Spa Skin and Laser Center.

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First Time Getting Botox? Here’s a Short Guide

First time getting Botox? We’ve prepared a short guide that covers everything you need to know to have a complete Botox experience.

In just four short steps, you can understand everything there is to know about Botox, the Botox experience, and whether or not Botox is right for you.

Step 1: Understanding Botox

What Is Botox?

Scientifically known as botulinum toxin A, Botox is an injectable drug derived from the bacterial toxin botulin. The bacterium – Clostridium botulinum – was first discovered back in the 19^th century, when doctors linked its neurotoxin byproduct to paralysis in humans.

Since then, scientists have been able to safely isolate the paralysis-inducing properties of botulinum toxin A for various medical purposes, turning it into the injectable we know as Botox.

Learn more in our post: The Origin of Botox: How It All Started.

What Does It Do?

Botox is used to eliminate wrinkles in the face, but it works best on a specific type of wrinkles: dynamic wrinkles. Dynamic wrinkles are a result of years of facial expressions and other facial movements – if you love expressing your feelings through your face, then you’re likelier to develop dynamic wrinkles earlier than your peers.

Botox is ideal for dynamic wrinkles because it targets the nerves causing the muscle contractions inside of your face.

The other type is static wrinkles, which are caused by the loss of collagen and elasticity in your skin as a result of aging. While Botox can help with static wrinkles, these are better treated with facial fillers.

How Does It Work?

While deadly when encountered in the wild (generally from eating contaminated food or contact with contaminated soil), leading to botulism, Botox as an injectable is medically used for a wide variety of conditions, one of which being facial wrinkles.

Botox works through the paralysis-inducing effects of its base neurotoxin. Simply put, once Botox is injected into a part of the body, it paralyzes the nerves in the area, thus blocking the signals between the brain and the nerves. This can freeze muscles, sweat glands, and more, which is why Botox is just as commonly used to treat excessive sweating.

Once the nerves are paralyzed, the natural muscle contraction beneath the skin relaxes, leading to the skin itself relaxing, and the folds and wrinkles slowly disappearing. While Botox can only last for a few months per treatment, patients can safely undergo new treatments of Botox every few months.

What Else Can Botox Treat?

Botox is not limited to treating wrinkles and excessive sweating. The paralyzing effects of Botox are unique and useful, making it an important drug when treating a variety of conditions, such as:

• Eye disorders
• Migraine headaches
• Cervical dystonia
• Cerebral palsy
• Chronic neck pain
• Gastroparesis
• Depression
• Enlarged prostate
• Bell’s Palsy

Learn more: Medical Uses of Botox: Can Botox Treat Medical Conditions?

Where Can I Get It?

Botox can be used to treat the following facial wrinkles and lines:

• Frown lines: Lines in the forehead worsened by frowning and pushing your eyebrows forward
• Glabellar lines: The vertical lines found between the eyebrows and the eyes (above the nose)
• Crow’s feet: The horizontal lines found on the outer corner of either eyes, caused by squinting
• Upper lip lines: The subtle lines found above the upper lip
• Bunny lines: The thin horizontal lines that can be found along the side and middle of the nose

For other facial wrinkles, ask your doctor about the ideal treatment – whether it’s Botox, facial fillers, or something else.

Simple Truths About Botox

Botox Doesn’t Erase, It Prevents: Most people think of Botox as something that you do when you’re in your 40s or 50s, to try to achieve a more youthful face. While this is true, it also means that some younger patients who might be interested in Botox never truly consider it.

However, Botox actually might be better as a preventative treatment, since it freezes the muscles that create the dynamic wrinkles in the face. For deep and long-term wrinkles, Botox has less of an impact. The earlier you start Botox treatments, the more effective your long-term Botox results will be.

It’s Temporary, But Repeatable: We all know that Botox is a temporary treatment. The paralysis effects of the drug only last for anywhere from 4-6 months, or up to 12 months in certain circumstances.

The good news is that you can follow up one Botox treatment with another a few months down the line, thus creating a sort of permanent effect with no harm or risk.

It’s For Everyone: Botox has an old reputation for being a “just for celebrities” treatment, but these days it’s absolutely normal for anyone to get Botox. Prices are affordable enough for most people to get a Botox treatment every few months, and the desire to improve your skin is a natural instinct that you shouldn’t be ashamed of.

Step 2: Your Botox Plan – Are You Prepared?

Do You Really Need Botox?

One of the most common questions from first-timer Botox patients is whether they really need Botox, and whether it’s the right age for them to get Botox. So when should you get Botox, and do you really need it?

The simple answer is that you should get Botox when the fine lines on your face start to seriously bother you. For most people, the build-up of fine lines begins in their 30s; for some, this can happen as early as your mid-20s.

However, we understand if you still feel uncomfortable getting Botox at a young age. If you are in your early to mid 20s, you can consider improving your stress levels, diet, and exercise to reduce the growth of fine lines as you age.

When to Consider and Not to Consider Botox

When To Think About Botox	When NOT To Consider Botox
You have facial wrinkles caused by muscle contraction – moderate to severe	You are breast-feeding or currently pregnant
The wrinkles are on your forehead, around the eyes, between the eyes, and/or along the neck	You are unhealthy, with a serious infection or illness, especially if the infection is along or connected to the injection site
You are physically and mentally healthy	There is a possibility that you are allergic to Botox or any of its ingredients
You understand the process and limitations of Botox, and you have discussed your expectations with your doctor	You do not properly understand Botox and your expectations have not been discussed with a doctor

What Does It Cost?

Botox is priced per unit, costing roughly $10 to $15 for each unit of Botox. The number of units required for your treatment depends on the number of injection sites involved; for the average treatment on the forehead, patients should expect to pay for anywhere from 8 to 20 units of Botox. This leads to a rough cost of $200 to $300 per treatment (including doctor and clinic fees).

What Other Options Are Available?

For dynamic wrinkles – wrinkles in the neck, face, and forehead that are caused by muscle contractions, there aren’t many other options as effective and impactful as Botox. What makes Botox different from other treatments is that it targets your skin beyond the surface-level, by treating the tense muscles leading to the wrinkles.

However, if Botox is not an option you want to consider, other possible treatments include microdermabrasion and chemical peels, as well as invasive surgical procedures such as facelifts, neck lifts, and brow lifts.

Dermal fillers can also be used, but they are better suited for static wrinkles.

Possible Side Effects

Almost all possible side effects from Botox as a facial wrinkle treatment are a result of poor injection technique, leading to the Botox affecting an area and muscle other than the intended target. Other side effects are caused by a negative reaction to the Botox itself. These side effects include:

• Allergic reactions
• Appetite loss
• Nausea
• Headache
• Stomach Pain
• Muscle stiffness
• Swelling or bruising at injection site
• Dry mouth
• Fever
• Itching
• Drowsiness

If you feel any possible side effects after your Botox treatment, consult your doctor immediately.

Step 3: Finding the Team You Can Trust

Like with any medical and cosmetic procedure, the most important step towards ensuring that you have a flawless and stress-free experience is in choosing a doctor and clinic you can trust.

As Botox is not a serious or invasive medical procedure, there are many unqualified practitioners and suppliers of Botox, leading to botched cases and disappointed (or worse) patients.

Here are some questions you should ask at your pre-procedure Botox consultation to assess the qualifications of your chosen doctor and clinic:

Questions to Ask at Your Botox Consultation

Q: What are your qualifications?

The right A: A degree in medicine or dentistry, or any kind of qualification or training for nurses.

Why: While there are many beauticians who offer Botox, remember that they do not have the training, experience, or education to handle any possible complications that might arise. Doctors and nurses have the understanding to deal with anything unexpected, meaning you are in safe hands if anything goes wrong.

Q: How many times have you performed this procedure?

The right A: The ideal doctor should have performed hundreds of Botox procedures over several years. If you desire, they should have before and after pictures of their previous pictures available and on-hand for your perusal.

Why: While Botox might seem like a simple procedure, it’s important to remember that even the simplest procedure can go wrong. The more experienced a doctor is in administering Botox, the more they will develop and inherent understand of the way your face and skin might react to it.

Q: Do Botox results last forever?

The right A: No, however, you can come back for follow-up treatments when the results start to wear off in a few months.

Why: This is a basic fact of Botox, and if any potential Botox injector tries to convince a patient that their brand of Botox will last longer in their face – for up to several years – then it’s not the type of Botox injector you will want to trust.

Q: What kind of side effects can I expect?

The right A: Side effects of the Botox procedure are generally caused by the Botox or the technique of the injection.

Why: In most cases of Botox going wrong, the problem is that the product was injected in the wrong spot. Your potential Botox doctor should be aware of this, reassuring you that they have mastered their injection technique.

Q: Is there any follow-up care?

The right A: Yes, a review of your face after two weeks.

Why: A good Botox doctor should always insist on a review of the results two weeks after the procedure. This should involve any small corrections that they believe are necessary to enhance and perfect the results of your Botox treatment.

Step 4: The Botox Experience

Preparation

Your pre-procedure Botox consultation should involve the doctor telling you everything you need to know to prepare for your Botox treatment. This includes things you should avoid in the days leading up to the treatment, to make sure that everything goes smoothly.

• Avoid cigarettes: Cigarettes can increase the possibility of bruising on the injection site, leading to a longer recovery time
• Avoid blood thinners (and other medications): Muscle relaxants and blood thinners increase the possibility of bruising and bleeding during injections. If you are taking any medications, inform your doctor.
• Apply cream: Patients who are prone to bruising can consider applying certain creams to their skin – the area of the injection site – shortly before the procedure.

Procedure

The Botox procedure itself should only last up to 20 minutes.

• The patient is seated
• The doctor marks the injection sites
• A cleanser will be applied to the skin, cleaning the skin thoroughly
• If the patient desires, a layer of topical numbing cream can be applied to the injection site, to lessen the pain of the injections
• The Botox is then injected into the face, in the sites where the muscles are leading to wrinkle formations
• A patient can expect anywhere from 1-3 injections for each muscle
• Patients can experience some minor discomfort during the procedure due to the injections

After the injections are complete, the doctor and the patient should discuss recovery, after-care, as well as the follow-up review appointment.

After-Care

Here are a few tips on how to handle yourself in the hours and days following your Botox treatment:

• Do not touch the injected areas: It can be tempting to rub or massage your injection sites, but this is highly discouraged. You want the Botox to settle in the targeted areas; rubbing or massaging it can spread the Botox to unwanted locations.
• Do not lie down or exercise: For around 4-6 hours after the procedure, try to avoid intense physical activity or lying down, as both of these can contribute to unwanted Botox spreading.
• Avoid alcohol: Alcohol leads to more bruising at the injection sites due to fluid retention, so avoid alcohol for 1-2 days after the Botox treatment

On top of avoiding the injection sites, make sure to stay attentive to any possible side effects. If you feel anything abnormal that you believe might be related to your Botox treatment, consult your doctor immediately or within a few days (depending on the severity of the feeling).

Book Your Botox Consultation at Ethos Spa

Ready for your Botox experience? Or are you interested in learning more about Botox and what it can do for you? At Ethos Spa, Skin and Laser Center, home of countless successful Botox treatments and other cosmetic procedures in New Jersey, our team is always ready to serve and inform.

Book your Botox consultation at Ethos Spa today.

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